The effectiveness of transforaminal pulsed radiofrequency and steroid injection in the management of chronic lumbar radicular pain
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Abstract
Objective: The aim of the study was to evaluate the effectiveness of combination two procedures: transforaminal pulsed radiofrequency and steroid injection for the management of patients with chronic lumbar radicular pain. Subject and method: Non-randomized intervention study of 36 patients with chronic low back pain and radiculopathy treated by a percutaneous radiofrequency denervation and transforaminal steriod injection from 01/2022 to 01/2023 at Department of Neurosurgery, University Medical Center in Ho Chi Minh city. Result: At 1 week, 1 month, 3 months and 6 months post-procedure follow-up, the VAS score (5 ± 1.3, 3.4 ± 1.3, 3.1 ± 1; and 3.3 ± 0.8) were significantly lower than pre-procedure VAS score (7.2 ± 0.7). Post-procedure ODI at 1 month (31.4 ± 9.2) and 6 months (25.5 ± 8.4) were significantly better than pre-procedure (60.4 ± 10.3). One transient motor weekness was observed in the study. Conclusion: Transforaminal pulsed radiofrequency and steroid injection combination could be use as a efficiency and safety method in the treatment of carefully selected patients with the chronic lumbar radicular pain.
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